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Welcome to the

Military Families Learning Network Webinar

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,

and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.

Part 2 Medicaid & Military Families:

Children with Special Needs

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,

and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.

Research and evidenced-based

professional development

through engaged online communities.

eXtension.org/militaryfamilies

Welcome to the

Military Families Learning Network

POLL

How would you best describe your current employer?

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,

and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,

and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.

Available Resources

https://learn.extension.org/events/1699

The Military Caregiving Concentration team will offer 1.00 CE credit hour from NASW.

*Must complete evaluation and pass post-test with an 80% or higher to receive certificate.

Link to evaluation and post-test will be available at the end of the presentation.

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,

and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.

Evaluation & CE Credit Process

WVU TRAINING MODULE 2

L. Christopher Plein, Ph.D.Professor of Public AdministrationEberly Family Professor for Outstanding Public ServiceWest Virginia University

• Medicaid options for children with special needs

• Eligibility options through income or deeming waivers

• Access to Home and Community Based Services (HCBS) through program waivers

• State Research and Demonstration waivers that provide new delivery models and expand coverage

• The Military Health System provides many services and benefits for children with special needs.

• Sometimes families need to go outside of the military system to seek services and care.

• Families may turn to Medicaid because of TRICARE coverage limits or because they will no

longer be receiving TRICARE.

• Medicaid can provide many benefits, both basic coverage and more specialized services.

• Eligibility for Medicaid is usually based on income status.

• Certain disabilities or special needs will qualify families for Medicaid services, based on type and severity.

• In many circumstances, family income will be waived to allow children to have access to Medicaid service.

• Commonly referred to as “Katie Beckett” waivers are often used when a child would not otherwise qualify due to family income.

• Used primarily to help children qualify for home and community services (HCBS).

• States have different deeming procedures, these will vary in terms of which agencies conduct reviews, what standards that are used, etc.

• Many states allow for Medicaid coverage for children receiving Supplemental Security Income (SSI) benefits. This simplifies the Medicaid eligibility process.

• HCBS coverage and benefits are usually not standard benefits offered under Medicaid.

• HCBS are usually offered through another type of waiver – a special program that may limit eligibility and availability of services.

• These are commonly called Health and Community Based Services (HCBS) waivers.

• They provide care for individuals who would otherwise have to seek treatment and services in an institutional setting.

Common Medicaid HCBS coverage includes:

• Respite care

• In-home skilled nursing

• Home health aide assistance

• Transportation services

• Nutritional supplements, supplies, and equipment necessary for home care

• HCBS waiver programs are not uniform across the states, or even within some states.

• Procedures for determining eligibility and authorizing access vary among the states.

• Eligibility does not convey across state lines.

• HCBS waivers are often targeted to a specific population based on health condition.

• Eligibility is determined by the severity and complexity of conditions.

• It is common for demand to outstrip available services provided under the waiver.

• For non-institutional care, states often limit the number of cases served. The number of cases allowed are often called “slots.”

• Because of this, individuals may be placed on “waiting lists.” But practices differ among the states.

• HCBS program implementation practices vary among the states.

• HCBS waivers are operated under state authority, and often involve state Medicaid or Disabilities agencies.

• The management may be delegated to specific state agencies, local government agencies, and even to community-based organizations.

Research and Demonstration waivers are state specific waivers used to:

• Provide new benefits,

• Develop new program management and delivery models,

• Extend benefits to new beneficiary groups.

• Medicaid “waivers” refer to standards, practices, and programs that vary from established federal regulations.

• Waivers are granted by the federal government to the states to allow for program innovation and to meet needs of target populations.

• Waivers are exceptions to the “rules” and thus may be difficult to obtain.

• Military families with children with special needs should utilize the services and benefits offered in the military health system.

• Medicaid coverage helps families access additional services, especially for non-institutional care.

• Medicaid eligibility processes are complex and access to services may be limited.

• Some states use “deeming” waivers to extend eligibility to those who might not otherwise qualify for Medicaid due to income.

• Many states provide HCBS services under waiver programs, but access to these services can be limited due to high demand and eligibility restrictions.

• In our next training module, we will take a closer look at Medicaid options for families with older members with special needs, such as adult children, spouses, and the elderly.

• Military OneSource. EFMP/Special Needs. Includes links to and information on public programs, resources, and more.

http://www.militaryonesource.mil/efmp

Summary of the West Virginia University Project Team’s Reports on Medicaid and Military Families with Children with Special Health Care Needs: Accessing Medicaid and Waivered Services (2013).

http://www.militaryonesource.mil/12038/MOS/EFMP/EFMP-MedicaidReport.pdf

The Military Caregiving Concentration team will offer 1.00 CE credit hour from NASW.

To receive CE credit please complete the evaluation and post-test found at:https://vte.co1.qualtrics.com/SE/?SID=SV_9tqrIBguC4Fcis5

*Must pass post-test with an 80% or higher to receive certificate.

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,

and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.

Evaluation & CE Credit Process

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,

and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.

Part 3 Medicaid & Military Families: Adults w/ Special

Needs

Date: February 18, 2014

Time: 11:00 a.m. Eastern

Location: https://learn.extension.org/events/1700

For more information on MFLN–Military Caregiving go to:

http://www.extension.org/pages/60576

Military Caregiving Upcoming Event…

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,

and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.

Family Development

Military Caregiving

Personal Finance

Network Literacy

Find all upcoming and recorded webinars

covering:

http://www.extension.org/62581

Military Families Learning Network